14945 SW 72ND AVENUE FILE NO.
• 7a4D AVE. - 14945 STR. OPN. PERMIT
CITYOF TIIFARD
June 8, 1987 OREGON
25 Veors of Service
1961-1986
H & A Construction
14945 S.W. 72nd Avenue
Tigard, OR 97222
RE: Street Opening Permit # 238-86
Gentlemen:
This is sent to acknowledge that all work under said permit has
been satisfactorily completed and to return your original performance
bond (fidelity & Deposit Co. Bond #9946947) .
Sincerely,
John S. Ha
Engineering Technician
cc/file
enclosure
JH/mj
13125 SW Hall Blvd.,PO.Box 23397,Tigard,Oregon r7223
i,.
fide,iity and Deposiet Company
//OA1L OrrICE OF N'IAIII'I.ANO BA1J"LU111AI , AID. 212113
STREET UICROACHMENT B0ND
Bond No. 9946947
KNOWALL BY THESE PRESENTS, That we, H & A_COii$TRUCTI ON cO_
as Principal, and the FIDELITY A14D DEPOSIT COMPANY OF MARYLAND, a corporation organized
under the laws of the State of Maryland and authorized to transact the business of
surety in the State of Oregon
as Surety,are held and firmly bound unto fHF CITY OF TI .ARD- a mu icippality of the State of
Oregon
in the just and full sum of FIVE HUR RED AND NO/100------------ Dollars(s 500.00-------------
for which sum,well and truly to be paid, we bind ourselves,our heirs,executors, administrators, successors and assigns,
jointly and severally,firmly by these presents.
Sealed with our seals,and dated this.__--_ 9th_____ day of _ _ JunE 19 86
THE CONDITION OF THIS OBLIGATION IS SUM. That WHEREAS, the above bounden Principal has applied
to_ the i t of Tigard _---------- -
for st eet improvement excavation permit at 14945 S.W. 72nd Avenue, Tigard, Oregon
pursuant to the terms of Ordinance No. 74-14 and any amendments thereto,and is required by the
terms of said 7rdinance to furnish a bond conditioned as in said Ordinance.
NOW, THEREFORE, If the said Principal H & A CONSTRUCTION CO ___ shall
fully comply with all provisions of Ordinance No._ 74-14 --and any amendments thereto
then this obligation to be void;otherwise,to remain in full force and effect.
PROVIDED, HOWEVER, that the aggregate liability of the Surety on this bond shall he limited to the amount specified in
lite bund
H & A C TRUCT I ON
- Y`ri�)cipNl
H � � 4N
FIDEIATY AND DEPOS COMPANY OF MAR
X1.AND �
Surcl y i
AY
Iluricl van vec•n Altorneyln-Fut
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
Mo#AE OFFICE,WTWON,MD,
KNOW ALL MEN BY THESE PRESENTS:That the FIDELITY ANS DIPPOSIT COMPANY OF MARYLAND,a corporation of the
State of Maryland,by R. W. BUDDENBOHN , Vice-President,and M. J. SCHNEBELEN .
Assistant Secretary,in pursuance of authority granted by Article VI,Section 2,of the By-Laws of said Company,which
reads as follows:
"The Chairman of the Board,of the President,or any Executive Vice-President,or any or the Senior Vice-Presidents or Vice-Presidents
specially authorited to to do by the Board of Directorsof by the Executive Committee,@hail have power,by and with the concurrence of the Secretary
or any one of the Assistant Secretaries,to appoint Resident Vice•Presidents,Assistant Vice•Presidsou and Attorneyrin•Faci as the business of the
Com any may require,or to authorise any rson or persons to execute on behalf of the Company any bonds,undertakings,recognisances,
stipulations,policies contracts,agreements,deeds,and releases and assignments of judgements,decrees,mortgages and instruments in the nature of
mortgages.... and to affix the seal of the Company thereto"
does hereby nominate constitute and appoint Muriel Van Veen of Portland, Oregon. . . . . . . . . .
t s rue an awful agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as
its act and deed: any and all bonds and undertakings. . . . . . . . . . . . . . . . . . . . . .
n e execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said
Company,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the
regularly elected officers of the Company at its office in Baltimore, Md., in their own proper persons.
The said Assistant Sec Lary doe,hereby certify that the aforegoing is is true copy of Article Vl,Section 2,of the Bylaws of said Compsny,and is
now in force,
IN WITNESS WHEREOF,tht:&aid Vice-President and Assistant Secretary have hereunto subscribed their names and
affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this .........�9.C.h.. .......... _day
of.... ..........,lar.1.r................................., A,D. 198.5...
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
f M�_e
ATTEST:
Aaauan+Secierary Viee•Hradwu
1 STATE or MAIIY,AND
Cr"OF BALTIU ax j
On this 10th day of July A.D. 19 85 ,before the subscriber,a Notary Public of the State of Marylaud,in
and for the City of Baltimore,duly commissioned and qualified,oesae the above-named Vice-President and Assistant Secretary of the PDUM AND
DmisiT COMPANY Or MARY,AND,to me Personally known to be the ktsdHnausb and ofTieersdaeeribed in w\eeaaauled the p►ecedingin&trusaen o
1 and they each acknowledged the execution of the is me,and being by we duly sworn,severally and each for hisloWdepesal.sod with,thru lb"an
the said officers of the Company aforesaid,and that the sed affixed to the preceding instrument is the Corporate Seal of said Cotopsay,and than the
said Corporate seal anti their sign.tures sa such officers were duly affixed and subscribed to the said instrument by the authority and direction of the
said Corporation
IN TEsnMDNY WHENIM,I have hereunto sat my hand and affixed by Official Seal,at the City of Itnmore,the dne nd year first above written
l ........................
e ...=i,
..-... .......... .....Notary Publir. sion Eatpir, Ju
�.c CERTIFICATE
1,the undo ''fined, Assistant secretary of the FiDELn AND DLMIT COMPANY OF MAaYIAND,do hereby certify that the original Powur or
Altoroey or.hien the roreguiit�Is a full,true and correct copy,is to full force and eflrt on the date of this certificate:and I do further certify that the
•Presidents specially authorised by the Beard of Director to
Vice.President who executed the said Power of Attorney war one ortlie additional Vice
appoint any AttorneyinTact as provided in Article VI,section 2 or the By-Laws of the FIDr31TY AND DEYOStT COMPANY sir MAl1YlAND.
This Certificate may be segued by facsimile under and by authority of the folloonq resolution of the Board of Directors of the Fina.tn AND
I)FpOSrr COMPANY OF MAaYIAND N a meeting duly callod and held on the IMh day of July.1969.
RLSOt.v6D '"hien the fteeimde or mechanically reproduced sytuture of any Assistant Secretary of the Company.whether made hwelofo,a of
hereafter,wherever appesri•tg upnn a certified coPy ON any.ower of aurn
oay issued by the COUP"?,&"I be valid arW binding upon the Gmlrny
with the same force and effn t as though manually affixed,
IN TTaflwom Wiiry.;m,I have hereunto subscribed my name and affta«d the corporate Baal of the said Conlien ,the&... th........... day
ar..........June........... . . _ . ..... . . 10 86
u&ett._ut 4'�'°"�
180-7526
Joti � N
APPLICATION -- STREET IMPP 'EMENT/EXCAVATION COPY TO:
OR DI A ICE NO, 74-14 Lj (WHITE)-FILE
Q (YELLOW)-INSP.
(INSTR'.)CTIONS ON SEPARATE SHEET) Cl tPINK)-OTHER AGENCY
p (BLUE)-APPLICANT
APPROVED [J APPLICATION NO.: C26' Y
NOT APPROVED p CITY OF TIGARD, OREGON FEE AMT.: f C71> AO'
PENDING FEE. �:`AT. ❑ CITY HALL RECEIPT N_O.: /42 4-!
PENDING SECURITY Cl PUBLIC WORKS DEPARTMENT By 6"4 DATE--C'
PENDING AGENCY "OK" p Applic.ltion and Progress Record dG
MAINTENANCE BOND x7 �
PENDING INFORMATION p FOR STREET IMPROVEMENT/EXCAVATION As r+e cluEB r
PENDING VARIANCE ❑ ANNUAL
EXPIRATION DATE:
PERMIT NO '_ L_ DATE ISSUED �-
(1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL __a� jZoximatuly m
0eet
_
AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY-REQUIREMENTS.
r �►, ^.=Qj1_— I^ 7J4ARY'ei 00.446APPLICANT -fissG_W_ 77nr • ^ '
�igrd- � L 39-fi1z'�
CONTRACTOR H_ A Nnl,%TLUCTION � yy2�QQVVee _____ _ .
ADDRESS ADDRES ` -_
_T _
CITU PHONE---'_
PLANS BY
CITU --
ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): ; 50Q 00
- - -..-� ------ DOLLARS
(2) EXCAVATION DATA: rDR oFVICE usE: M,N,
0.04 Y, f__—_. = f _
STREET DESCRIPTION PROGRESS & INSPECTION STATUS
N/IME SURFACE
CUT CUT CUT LENGTH WIDTH DEPTH MATERIAL TEMAIgUANTITY /TYPE HY
ITEM DATE REMARKS
STREET '
PEN
IN SPEC-
R 'r10N
E
W
IJ
ESTIMATED STREET OPENING DATE: � / E
_- g
ESTIMATED STREET CLOSING DATE: / / T
_ E
(3) SECURITY NO. SECURlTYAMT.: : STREET
CLOSED
SURETY CO.. __ / FINAI
-CERTIFIED CHECK Y _ CASH p SONO A� INSPEC.
(4) PLOT PLAN: INDICATE SITE PERTINENT PHYSICAL r SPECIAL PROVISIONS/CONDITIONS:
FEATURES; EXCAVATION LOCATION AND EXTENT.
1. Nrr d >4V /)a 16 /r r:( i--c' f".c
G IE I116 iJ f v>_ Moe $ f
1 I 1
(S) NOTE THE CITY OF TIGARD DOES NOT. HEREBY, GRANT 0ERMISSION TO APPLICANTS TO CONDUCT WO'lK WHERE
RIGHT OF-WAY JURISDICTION IS THA r OF WASHINGTON COJNTY OR THE STATE OF OREGON
THE APPLICANT AGREES TO DEPOSIt THE REQUIRED SECURITIES, TO COMPLY WITH ALL PERI INENT LAWS AND
CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK. AND TO QAVE HARMLESS THE CITY AND
EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY RESULT FROM APPLICANTS ACTIONS.
APPLICANYS SIGNATURE 0ATE
i
SEF, tit S
PEr —IM 5S
MCPm PATF 316.306.3.429.627
Cirf CSF TIo,A RD No. 14244
+� 12755 S.W.ASH
P.O-BOY.233979�
Date /-
TIGARD,OR 97223
Name �_—
Address ~�
Lot _ Block/Map Subdivision/Address
Permit N's TBldg. Plumb Cash Check j
Sewer Other Other nec. B
Acct. No. --–� _-- Description Amount
1C%A32 Buildin Permit Fees —
10.431-600 Plumbing Permit Fees
10.431.601 Mechanical Permit Fees
10-230-501 State Bldg. Tax ^�
10-433 _ Plans Check i=ee _
30-443 Sewer Connection
30.444_ Sewer Inspection _
51-448 Street Syst. Dev.Charge
52-449-810 Parks I Syst. Dev.Charge_ —^
52.449.620 Parks II Syst. Dev. Charge
31.450 Storm Drainage Syst. Dev. Charge
�+' j111[(%►$:'9+F�!!R�'+G�!!!�ilk.^•`�3Jr�i:�prt•:t:<rs?.;S
10-430 Business Tax --__
10.434 Alarm_ Permit _ _ __-
i0-227 all
10-455- Fines TrafficlMisdlParking_
10-230- CPTA Traffic/MisdlVic. Asst
10.458 Indigent Defense —_
__j0.122.401 Sewer ServicelU— Ski— _____
?.^r122.402 Sewer Service/City 30% _
`
30423 Sewer Sevice/City Maint.
3 -125 m
2 Unatched —_
1.124 9torm Dralnape
40-475 Prin. Pymt-
404 1 6ancr Pymt.
h
- TOTAL Do I
( ACCOUNTING
r